Bronchiolitis Clinical Pathway — Inpatient
Bronchiolitis Clinical Pathway — Inpatient
Response to Intervention Score
Response to Intervention score should be completed prior to and following any new intervention to address respiratory distress. The purpose of the score is to determine whether an intervention has been helpful and has resulted in clinical improvement.
Mild (0) | Moderate (1) | Severe (2) | ||
---|---|---|---|---|
RR | < 3 months | 30-60 | 61-80 | > 80 |
3 - < 12 months | 25-50 | 51-70 | > 70 | |
1y – 2y | 20-40 | 41-60 | > 60 | |
WOB | None or mild | Intercostal retractions | Nasal flaring, grunting, head bobbing | |
Mental Status | Baseline | Fussy or anxious | Lethargic or inconsolable |
The child should be assessed before any intervention and again approximately 10 minutes after completion of the intervention. Interventions should be given in step-wise fashion, with each intervention scored before the next intervention is administered.